NPIMap

Organization Active NPI

Gerald M Middleton, DDS, Inc.

  • Dentist
  • Riverside, CA
National Provider Identifier
1134588189
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39309 Issued in CA
Legal business name
GERALD M MIDDLETON, DDS, INC.
Practice address
4234 Riverwalk Pkwy Ste 100
Riverside, CA 92505-3304
Phone
(951) 688-3442
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald Michael Middleton, DDSNPI 1669543765
Title
Ceo
Phone
(951) 688-3442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39309 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 100
Riverside, CA 92505-3304

Mailing address

4234 Riverwalk Pkwy Ste 100
Riverside, CA 92505-3304
Phone (951) 688-3442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1134588189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "951-688-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "951-688-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD M MIDDLETON, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-688-3442",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.